Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program

Scientific Rating:

Child Welfare System Relevance Level:

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program has been rated by the CEBC in the area of: Sexual Behavior Problems in Children, Treatment of.

Target Population: Children with sexual behavior problems. Boys and Girls ages 3 to 6 years of age and their caregivers.

For children/adolescents ages: 3 – 6

For parents/caregivers of children ages: 3 – 6

Brief Description

Children with Sexual Behavior Problems Cognitive-Behavioral Treatment Program: Preschool Program is a family-oriented, cognitive-behavioral, psychoeducational, and supportive treatment group designed to reduce or eliminate incidents of sexual behavior problems:

The program is an outpatient group treatment program for children ages 3 to 6 years and their parents or other caregivers. Recommended group size is 5-7 children per group.

The program can be provided to individual families when group is not an option.

The treatment is provided as a closed-ended group.

The group is 12-14 sessions long.

Collaboration with child protective services, school personnel, and others involved is highly recommended.

Caregivers are taught about sexual development, how to supervise the children, teach and implement rules in the home, communicate about sex education, and reduce behavior problems utilizing behavior parent training strategies. Children are taught private part rules and abuse prevention skills in the context of safety rules. Boundaries, emotional regulation, coping skills, and basic impulse control strategies are taught and practiced during and between sessions.

Program Goals:

The goals of Children with Sexual Behavior Problems Cognitive-Behavioral Treatment Program: Preschool Program are to:

Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: Program requires weekly parent/caretaker attendance and active
participation, monitoring and supporting child application of skills
between sessions, and ongoing assessment of child progress in treatment.

Parent/Caregiver Services

Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program directly provides services to parents/caregivers and addresses the following:

Recommended Parameters

Recommended Intensity:

Recommended Duration:

Delivery Setting

Homework

Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program includes a homework component:

Each week the child and caregiver have activities that have them apply or practice the skills/information taught.

Languages

Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Programdoes not have materials available in a language other than English.

Resources Needed to Run Program

The typical resources for implementing the program are:

Group rooms including one room large enough to hold all the families for the parent-child group component.

Co-therapists for each child group is recommended. One therapist could do the caretaker/parents group.

Personnel to conduct the intake assessments.

Supervisor/director of the program.

Therapeutic materials, such as books, puppets, etc.

Minimum Provider Qualifications

Supervisor and lead therapists are recommended to be licensed mental health practitioners with previous experience in treatment for children and their caregivers for children with behavior problems and children who have been maltreated.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:

Training is obtained:

Onsite or at OUHSC

Number of days/hours:

Depends in part on training and experience of staff to be trained. Typically there are 4 days of initial training, ongoing consultation (preferred live observation of program via polocom), and at least one booster training visit.

Implementation Information

Since Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program is highly rated on the Scientific Rating Scale, information was requested from the program representative on available pre-implementation assessments, implementation tools, and/or fidelity measures.

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Pre-Implementation Materials

The program representative did not provide information about pre-implementation materials.

Formal Support for Implementation

The program representative did not provide information about formal support for implementation of Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program.

Fidelity Measures

The program representative did not provide information about fidelity measures of Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program.

Implementation Guides or Manuals

The program representative did not provide information about implementation guides or manuals for Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program.

Research on How to Implement the Program

The program representative did not provide information about research conducted on how to implement Children with Problematic Sexual Behavior Cognitive-Behavioral Treatment Program: Preschool Program.

Relevant Published, Peer-Reviewed Research

This program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

Type of Study: One group pretest-posttest design Number of Participants: 85

Population:

Age range — 3 to 7 years

Race/Ethnicity — Not Specified

Gender — Not Specified

Status — Participants were children presenting co-occurring trauma symptoms and disruptive sexual behaviors referred from child protective services and other agencies or programs.

Location / Institution: Oklahoma Department of Human Services

Summary:(To include comparison groups, outcomes, measures, notable limitations)The study evaluated a 12-week group treatment program for preschool children with interpersonal sexual behavior problems (SBP). Caregivers completed the Child Sexual Behavior Inventory III (CSBI-III),Child Behavior Checklist (CBCL),Parenting Stress Index – Short Form (PSI-SF), and the CSBP Preschool Group Satisfaction and Social Validity Questionnaire (CSBP-PGSQ) and clinicians completed and assessed children using the Diagnostic Interview Schedule for Children (DISC-IV), Abuse Dimensions Inventory, Peabody Picture Vocabulary Test – Third Edition (PPVT-III), and Treatment History Form at intake, pretreatment and posttreatment. In intent-to-treat analysis, a significant linear reduction in SBP due to number of treatment sessions attended was found, an effect that was independent of linear reductions affiliated with elapsed time. Under the assumption that treatment can have an incremental impact, more than one third of the variance was accounted for by treatment effects, with female and older children most favorably impacted. Caregivers reported increase in knowledge, satisfaction, and usefulness of treatment. Limitations included the lack of a control or comparison group.